Organization
COOLIDGE PEDIATRICS
Active
Parent organization
BETHESDA PEDIATRICS OF QUEEN CREEK
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHESDA PEDIATRICS OF QUEEN CREEK
Authorized official
EMILIA GOMEZ-VIEYTEZ MD (CEO)
(480) 792-9200
Entity
Organization
Contact information
Practice address
299 W CENTRAL AVE STE B, COOLIDGE, AZ 85128-4726
(480) 792-9200
(480) 792-9206
Mailing address
22707 S ELLSWORTH RD STE H101, QUEEN CREEK, AZ 85142-7568
(480) 792-9200
(480) 792-9206
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43623
AZ
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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